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靶向β1 整合素抑制内毒素血症中的血管渗漏。

Targeting β1-integrin inhibits vascular leakage in endotoxemia.

机构信息

Translational Cancer Biology Program, Research Programs Unit, Biomedicum Helsinki, University of Helsinki, FI-00014 Helsinki, Finland.

Turku Centre for Biotechnology, University of Turku and Åbo Akademi University, FI-20520 Turku, Finland.

出版信息

Proc Natl Acad Sci U S A. 2018 Jul 10;115(28):E6467-E6476. doi: 10.1073/pnas.1722317115. Epub 2018 Jun 25.

Abstract

Loss of endothelial integrity promotes capillary leakage in numerous diseases, including sepsis, but there are no effective therapies for preserving endothelial barrier function. Angiopoietin-2 (ANGPT2) is a context-dependent regulator of vascular leakage that signals via both endothelial TEK receptor tyrosine kinase (TIE2) and integrins. Here, we show that antibodies against β1-integrin decrease LPS-induced vascular leakage in murine endotoxemia, as either a preventative or an intervention therapy. β1-integrin inhibiting antibodies bound to the vascular endothelium in vivo improved the integrity of endothelial cell-cell junctions and protected mice from endotoxemia-associated cardiac failure, without affecting endothelial inflammation, serum proinflammatory cytokine levels, or TIE receptor signaling. Moreover, conditional deletion of a single allele of endothelial β1-integrin protected mice from LPS-induced vascular leakage. In endothelial monolayers, the inflammatory agents thrombin, lipopolysaccharide (LPS), and IL-1β decreased junctional vascular endothelial (VE)-cadherin and induced actin stress fibers via β1- and α5-integrins and ANGPT2. Additionally, β1-integrin inhibiting antibodies prevented inflammation-induced endothelial cell contractility and monolayer permeability. Mechanistically, the inflammatory agents stimulated ANGPT2-dependent translocation of α5β1-integrin into tensin-1-positive fibrillar adhesions, which destabilized the endothelial monolayer. Thus, β1-integrin promotes endothelial barrier disruption during inflammation, and targeting β1-integrin signaling could serve as a novel means of blocking pathological vascular leak.

摘要

内皮完整性的丧失会促进包括败血症在内的许多疾病中的毛细血管渗漏,但目前尚无有效的治疗方法来维持内皮屏障功能。血管生成素 2 (ANGPT2) 是一种依赖于上下文的血管渗漏调节剂,通过内皮 TEK 受体酪氨酸激酶 (TIE2) 和整合素发出信号。在这里,我们表明针对β1-整合素的抗体可作为预防或干预疗法,减少小鼠内毒素血症中的血管渗漏。体内结合β1-整合素的抗体可改善内皮细胞-细胞连接的完整性,并保护小鼠免受内毒素血症相关的心力衰竭,而不影响内皮炎症、血清促炎细胞因子水平或 TIE 受体信号。此外,内皮β1-整合素的单个等位基因条件缺失可保护小鼠免受 LPS 诱导的血管渗漏。在血管内皮细胞单层中,炎症剂凝血酶、脂多糖 (LPS) 和 IL-1β 通过β1 和α5 整合素和 ANGPT2 降低了连接的血管内皮 (VE)-钙粘蛋白,并诱导了肌动蛋白应力纤维。此外,β1-整合素抑制抗体可防止炎症诱导的内皮细胞收缩和单层通透性。从机制上讲,炎症剂刺激 ANGPT2 依赖性将α5β1-整合素易位到 tensin-1 阳性纤维状黏附物中,从而破坏了内皮单层。因此,β1-整合素在炎症过程中促进内皮屏障破坏,靶向β1-整合素信号可能成为阻断病理性血管渗漏的新方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6524/6048499/e46bb9cf1f07/pnas.1722317115fig02.jpg

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